Surgical Resection for Encountered Pleural Dissemination of Lung Cancer: What Procedure Should be Chosen?:WHAT PROCEDURE SHOULD BE CHOSEN?
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概要
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This study discusses an optimal treatment for patients with pleural dissemination, which was first revealed in operation, retrospectively.<BR>We performed thoracotomy for 710 patients with lung cancer between 1982 and 1998 at National Sanatorium Nishi-Gunma Hospital. The pleural dissemination of non-small cell lung cancer was found at thoracotomy in 24 cases (3.4%). We study prognosis of the patients with pleural dissemination, and compare survival between patients with pleural dissemination undergone lobectomy and stage IIIB other than pleural dissemination.<BR>Five-year survival (5 YS) of all the 24 patients was 24.3%. 5 YS of 17 under lobectomy (Lob-D group) was 32.4%. 5 YS of 29 patients having stage IIIB without pleural dissemination (Stage IIIB group) was 0%. No statistical significant difference was observed in the survival rates between Lob-D group and Stage IIIB group.<BR>This suggests that lobectomy for pleural dissemination found at thoracotomy is one of the procedures that should be chosen.
- 北関東医学会の論文
著者
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Kawashima Osamu
Department Of Chemistry Faculty Of Science Kanagawa University
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Otani Yoshimi
Second Department Of Surgery Gunma University School Of Medicine
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Kamiyoshihara Mitsuhiro
Department Of General Thoracic Surgery Maebashi Red Cross Hospital
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Morishita Yasuo
Second Department Of Surgery
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Kamiyoshihara Mitsuhiro
Department of Surgery, National Sanatorium Nishi-Gunma Hospital, Shibukawa, Gunma, Japan
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Morishita Yasuo
Second Department of Surgery, Gunma University School of Medicine, Maebashi, Gunma, Japan
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